A list of the most recent deficiencies for Avon Place. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide activities to meet all resident's needs. | Health | 2023-06-29 | 2023-07-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-29 | 2023-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-26 | 2023-07-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-26 | 2023-07-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-11 | 2022-07-13 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-29 | 2021-11-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-29 | 2021-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-29 | 2021-11-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-10-08 | 2021-10-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-08 | 2021-10-09 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-31 | 2021-10-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-31 | 2021-10-09 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-28 | 2020-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-28 | 2020-01-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-28 | 2020-01-28 | N |
| Dispose of garbage and refuse properly. | Health | 2019-12-28 | 2020-01-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-27 | 2020-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-27 | 2020-01-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-27 | 2020-01-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-10-18 | 2018-11-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-18 | 2018-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-11-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-10-18 | 2018-11-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-18 | 2018-11-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-17 | 2018-11-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-17 | 2018-11-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-10-17 | 2018-11-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-17 | 2018-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-17 | 2018-11-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-17 | 2018-11-09 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-10-17 | 2018-11-09 | N |
